| NPI | 1053072587 |
|---|---|
| Doing Business As | GOLDEN STATE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TATYANA LVOVNA YASHCHUK Chief Dentist/Owner 510-230-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-05-23 |